Kodi mukuda nkhawa ndi mimba ngati muli ndi matenda a bipolar? (Bipolar Disorder mu Mimba)

Kodi muli ndi vuto la bipolar ? Mwina muli kale ndi pakati, kapena mungakhale mukulota kukhala ndi mwana. Ndizachilendo kukhala ndi mafunso ambiri, mantha, ndi kukayikira m'maganizo mwanu panthawi ngati iyi. "Kodi mankhwala omwe ndikumwa adzakhudza mwana?", "N'chiyani chidzandichitikire ngati nditasiya kumwa mankhwala mwadzidzidzi?", "Kodi ndingakhale mayi wabwino ndi vutoli?" Zinthu izi ziyenera kuti zikukuvutitsani. Musadandaule. Chofunika kwambiri ndikudziwa bwino za izi. Tiyeni tikambirane za izi poyera komanso mwaubwenzi lero.

Kodi matenda a Bipolar angakhale ovuta panthawi ya mimba?

Ndipotu, kafukufuku wokhudza matenda a bipolar ndi chithandizo chake panthawi ya mimba akupitirirabe. Komabe, kutengera zomwe zapezeka pano, pali chiopsezo chakuti matendawa achuluke panthawi ya mimba. Anthu ena amaganiza kuti kutenga mimba ndi nthawi yodzitetezera maganizo kwa mkazi. Koma kwa mkazi yemwe ali ndi matenda a bipolar, sizili choncho.

Kafukufuku wina adapeza kuti amayi apakati omwe ali ndi matenda a bipolar anali ndi mwayi wopeza chipatala nthawi zisanu ndi ziwiri kuposa amayi ena apakati. Komanso, kafukufuku yemwe adayang'ana azimayi omwe anali kukonzekera kubereka ndipo adasiya kumwa mankhwala awo miyezi isanu ndi umodzi asanakhale ndi pakati adapeza izi:

• Ngati mankhwala asiya kugwiritsidwa ntchito, chiopsezo chakuti matendawa abwererenso chimawonjezeka kawiri.
• Ngati mankhwala asiya mwadzidzidzi, kaya mwadala kapena ayi, zizindikiro zidzabwerera mwa anthu 50% mkati mwa milungu iwiri yokha.
• Anthu omwe anasiya kumwa mankhwalawa anali ndi zizindikiro za mimba pafupifupi 40%, zomwe zinali zochulukirapo kuwirikiza kanayi kuposa omwe anapitiriza kumwa mankhwalawa.

Dziwani zambiri za kugwiritsa ntchito mankhwala a bipolar panthawi ya mimba

Funso ili ndi lalikulu kwa anthu ambiri. Pali amayi ambiri omwe abereka ana athanzi pamene akumwa mankhwala a bipolar disorder. Komabe, mankhwala ena, makamaka m'miyezi itatu yoyamba ya mimba, amakhala ndi chiopsezo chochepa choyambitsa zilema zobadwa nazo.

Mukuona, sichoncho? Kusamwa mankhwala nakonso ndi koopsa. Choncho izi ziyenera kuganiziridwa pamodzi ndi dokotala wa za mimba ndi dokotala wa matenda amisala. Iwo ndi omwe adzayesa zoopsa ndi ubwino kutengera momwe zinthu zilili ndi kupanga chisankho chabwino kwambiri.

Zolimbitsa Maganizo

Izi ndi mankhwala omwe amaperekedwa kwambiri kwa matenda a bipolar.

• Lithium: Lithium ingayambitse vuto la mtima mwa mwana panthawi yoyamba ya mimba. Choncho nthawi zina madokotala amasiya kupereka lithium panthawiyi. Koma kwa akazi ena, ubwino wopitiliza kumwa lithium umaposa zoopsa zake. Komanso, kupitiriza kumwa lithium mutabereka kungachepetse chiopsezo cha matendawa kuchoka pa 50% mpaka 10%.
• Ngati mukumwa lithiamu: Imwani madzi ambiri. Musagwiritse ntchito mchere wambiri. Yang'anani kuchuluka kwa lithiamu m'thupi lanu nthawi zonse monga momwe dokotala wanu wanenera. Ngati mukuganiza kuti lithiamu ndi poizoni, pitani ku chipinda chapafupi chadzidzidzi (ETU) nthawi yomweyo. Muthanso kuyimbira National Poisons Information Center ku Colombo National Hospital kuti mupeze malangizo.

• Valproate (Depakote) ndi Carbamazepine (Tegretol):Mankhwala onsewa amawonjezera chiopsezo cha matenda a neural tube ngati atengedwa msanga pa nthawi ya mimba. Chifukwa chake, madokotala nthawi zambiri amasiya mankhwalawa akangozindikira kuti ali ndi pakati ndipo amasintha n’kuyamba kugwiritsa ntchito mankhwala otetezeka. Ndikofunikira kwambiri kumwa mavitamini okhala ndi folic acid panthawiyi.

• Lamotrigine/Lamictal: Iyi ikhoza kukhala njira ina yabwino kwambiri m'malo mwa mankhwala omwe ali pamwambapa kwa akazi ena.

Mankhwala Oletsa Kusokonezeka Maganizo

Mankhwalawa amagwiritsidwa ntchito pochiza matenda amisala, makamaka kuona zinthu molakwika. Pali mankhwala atsopano monga Aripiprazole (Abilify), Olanzapine (Zyprexa), ndi Quetiapine (Seroquel). Dokotala wanu angakulangizeni kuti musinthe kugwiritsa ntchito mankhwala akale monga Haloperidol (Haldol) panthawi ya mimba.

Mankhwala oletsa kuvutika maganizo

Palibe zambiri zokhudza momwe izi zimakhudzira amayi apakati omwe ali ndi matenda a bipolar. Ngati mumwa mankhwalawa, madokotala nthawi zambiri amawunika momwe mukumvera kuti aone ngati mwadzidzidzi mukukumana ndi misala.

Kodi chithandizo cha ECT (electroconvulsive therapy) ndi choyenera?

Anthu ena amachita mantha akamva mawu akuti electroconvulsive therapy (ECT). Koma kwenikweni ndi imodzi mwa njira zotetezeka komanso zothandiza kwambiri zomwe zimapezeka panthawi ya mimba. Ikhoza kukhala mpumulo waukulu kwa amayi apakati omwe akuvutika ndi kuvutika maganizo kwambiri kapena kusokonezeka maganizo. Popereka chithandizochi, madokotala amachita zinthu zina zowonjezera:

• Kugunda kwa mtima wa mwana ndi kuchuluka kwa mpweya m'thupi lake kumayang'aniridwa nthawi zonse panthawi ya chithandizo.
• Mankhwala amaperekedwa kuti asidi m'mimba asalowe m'khosi.
• Pofuna kupewa kubadwa msanga, akulangizidwa kumwa madzi ambiri ndi zakudya zopatsa thanzi.

Kodi mungachitenso chiyani?

Monga mankhwala, moyo wanu ndi wofunika kwambiri panthawiyi.

• Kuwongolera kupsinjika maganizo: Khalani omasuka momwe mungathere. Kuchita masewera olimbitsa thupi, kusinkhasinkha, kuchita chinthu chomwe mumakonda.
• Pitirizani kuchita zinthu mwachizolowezi: Gonani, dzukani, ndipo idyani nthawi imodzi. Izi zidzakuthandizani kuchepetsa kusinthasintha kwadzidzidzi kwa maganizo.
• Gonani bwino: Kugona mokwanira n'kofunika kwambiri pothana ndi matenda a bipolar.
• Chithandizo cha maganizo: Panthawiyi, ndikofunikira kwambiri kufunafuna thandizo kwa mlangizi wodalirika yemwe mungamuuze zakukhosi kwanu ndi mantha anu.